Reconstruction of a surgical defect in the popliteal fossa: A case report

Abstract

HighlightsPopliteal tumors and their associated defects present the dermatologic surgeon with rare and unique surgical and reconstruction challenges.When planning reconstruction in the popliteal fossa, prolonged wound care and functional impairment are concerns.In such an area with little tissue laxity, a random patterned bilobed with an undersized secondary lobe is an excellent solution to this challenge.

Nose reconstruction using local and regional flaps: The challenges and advantages

“…So it can be used on defects on the lateral side. [ 15 16 17 ] This flap is known for its best cosmetic results, but the donor site is limited and hence used for small defects only. [ 18 19 ] In our study, the lateral defects of two patients were covered using bilobed flaps, both of them had excellent cosmetic results and minimal or no donor-site morbidity [ Figure 3A–C ].…”

Free gracilis muscle transfer with anastomosis of its major to minor pedicle for reconstruction of a popliteal fossa defect: a case report

“…10 The popliteal fossa is a difficult area for reconstruction, with limited case reports available describing strategies for soft tissue coverage. 7,8 Previous examples of reconstructive options have included local reconstructive options, and regional options such as a pedicled anterolateral thigh or gastrocnemius muscle flaps. 8 The gastrocnemius muscle particularly is a workhorse flap for locoregional reconstruction around the popliteal fossa and upper tibia.…”

“…7,8 Previous examples of reconstructive options have included local reconstructive options, and regional options such as a pedicled anterolateral thigh or gastrocnemius muscle flaps. 8 The gastrocnemius muscle particularly is a workhorse flap for locoregional reconstruction around the popliteal fossa and upper tibia. In our case, this was not a feasible option due to the prior segmental popliteal artery resection which sacrificed the vascular pedicle of the gastrocnemius muscle.…”

“…2,6 Popliteal defects are a complex region to reconstruct, with the literature showing overwhelming preference for local flap coverage. 7,8 However, the gracilis muscle has been described for coverage of suprapatellar and anterior knee defects. 9,10 This case describes the utilisation of the gracilis muscle as a free muscle transfer to reconstruct a popliteal defect.…”